Clinical ethics consultants should show bold moral courage in discharging their duties to patients, families, and healthcare providers. Given the corrosive impact on trust, and on the appropriate d...

We give an introductory tutorial to assumption-based argumentation (referred to as ABA) – a form of argumentation where arguments and attacks are notions derived from primitive notions of rules in a deductive system, assumptions and contraries thereof. ABA is equipped with different semantics for determining ‘winning’ sets of assumptions and – interchangeably and equivalently – ‘winning’ sets of arguments. It is also equipped with a catalogue of computational techniques to determine whether given conclusions can be supported by a ‘winning’ set (...) of arguments. These are in the form of disputes between (fictional) proponent and opponent players, provably correct w.r.t. the semantics. Albeit simple, ABA is powerful in that it can be used to represent and reason with a number of problems in AI and beyond: non-monotonic reasoning, preferences, decisions. While doing so, it encompasses the expressive and computational needs of these problems while affording the transparency and explanatory power of argumentation. (shrink)

According to what Jonathan Bennett calls the Kant–Frege view of existence, Frege gave solid logical foundations to Kant’s claim that existence is not a real predicate. In this article I will challenge Bennett’s claim by arguing that although Kant and Frege agree on what existence is not, they agree neither on what it is nor on the importance and justification of existential propositions. I identify three main differences: first, whereas for Frege existence is a property of a concept, for Kant (...) it is a relational property pertaining between the concept and intuition of an object. Second, whereas for Frege truth about individuals presupposes their existence, for Kant truth is in many cases independent of the existence of objects. Third, whereas Frege binds logic to existence and removes modalities from logic, for Kant existence is a modal category that is emphatically removed from the domain of logic and set in the core of metaphysics. Due to these differences in Kant’s and Frege’s theories of existence, Frege cannot be seen as giving logical clarity to Kant’s view. (shrink)

Dung’s abstract argumentation frameworks have had a very significant role in the rise in interest in argumentation throughout this century. In this paper we will explore the impact of this seminal idea on a specific application domain, AI and Law. Argumentation is central to legal reasoning and there had been a considerable amount of work on it in AI and Law before Dung’s paper. It had, however, been rather fragmented. We argue that the abstract argumentation frameworks had a unifying effect (...) by offering a means of relating previously diverse work. We also discuss how the particular demands of legal systems have led to developments building on the basic notions of abstract argumentation. (shrink)

In 1995, in his seminal paper introducing the abstract argumentation framework, Dung has also established the first relationship between this framework and a logical framework (in this case: logic programming). Since that time, a lot of work have pursued this path, proposing different definitions, uses and exhibiting distinct relationships between argumentation and logic. In this paper, we present a survey of existing works about this topic and more especially those that address the following question: “How logic has been used for (...) capturing various aspects or parts of Dung’s argumentation”. This survey covers many different approaches but is not intended to be totally exhaustive due to the huge quantity of papers in this scope. Moreover, due to the fact that each approach has its own specificities, sometimes antagonistic with the other approaches, and is also justified by its own context of definition or use, the aim of this survey is not to identify one approach as being better than another. (shrink)

This article examines parallels between the increasing mental burnout and environmental overshoot in the organisational context. The article argues that there is a particular philosophy of management that connects these two phenomena of overshoot and burnout, namely productivism. As there are boundaries in all ecological processes and systems, the productivist aim of having ever more output and growth is deemed absurd. It is proposed that productivity as a management philosophy not only leads to mental ill-health in organisations but also to (...) overshoot in the environment. The article concludes that productivism, which denies the limits in utilisation of humans and other natural resources, fits poorly with circular economy and sustainability. Hence, ecological management should be complemented with a more holistic and processual view of organizations, as well as have an aim of peaceful coexistence between all earthbound objects. This signifies acknowledging and caring for human and non-human needs both now and in future by applying the idea of moderation to production of goods and services. (shrink)

Florence Ashley has argued that requiring patients with gender dysphoria to undergo an assessment and referral from a mental health professional before undergoing hormone replacement therapy (HRT) is unethical and may represent an unconscious hostility towards transgender people. We respond, first, by showing that Ashley has conflated the self-reporting of symptoms with self-diagnosis, and that this is not consistent with the standard model of informed consent to medical treatment. Second, we note that the model of informed consent involved in cosmetic (...) surgery resembles the model Ashley defends, and that psychological assessment and referral is recognised as an important aspect of such a model. Third, we suggest that the increased prevalence of psychiatric morbidity in the transgender population arguably supports the requirement of assessment and referral from a mental health professional prior to undergoing HRT. (shrink)

Debate persists over the place of conscience in medicine. Some argue for the complete exclusion of conscientious objection, while others claim an absolute right of refusal. This paper proposes that claims of conscientious objection can and should be permitted if they concern kinds of actions which fall outside of the normative standard of medicine, which is the pursuit of health. Medical practice which meets this criterion we call medicine qua medicine. If conscientious refusal concerns something consonant with the health-restoring aims (...) of medicine, it entails a desertion of professional duty. If, however, it relates to something other than medicine qua medicine, it can rightly be refused. It thus becomes possible to test instances of conscientious objection to determine their validity, and thereby conserve both the principle of conscientious objection and define its scope. This test of conscience prevents arbitrary discrimination, and preserves doctors’ agency. It is a theoretical razor rooted in the pra... (shrink)

Hoping to bring some objectivity to the debate, Ben-Moshe has argued that conscientious objection in medicine should be accommodated based on its concordance with the ‘impartial spectator’, a metaphor for conscience drawn from the writings of Adam Smith. This response finds fault with this account on two fronts: first, that its claim to objectivity is unsubstantiated; second, that it implicitly relies on moral absolutes, despite claiming that conscience is a social construct, thereby calling its coherence and claims into question. Briefly, (...) a traditional account of conscience is then described, before ending with a related thesis for future discussion. (shrink)

This brief and remarkably inexpensive book by the distinguished Professor Maehle of Durham University is composed of five detailed studies of aspects of nineteenth and twentieth century British med...

The conventional historical account of the concept of brain death credits developments and discoveries of the twentieth century with its inception, emphasizing the role of technological developments and professional conferences, notably the 1968 Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death. This essay argues that the French physician Eugène Bouchut anticipated the concept of brain death as early as 1846. Correspondence with Bouchut’s understanding of brain death and one important contemporary concept of brain (...) death is established then contrasted with current trends of defining death as the death of the brain. The philosophical factors that influenced Bouchut and the later developments of concepts of brain death are considered, with special reference to mechanistic philosophy and vitalism. (shrink)

1. The benefits resulting from a combination of quantitative (e.g. probabilistic) and qualitative (e.g. logic-based) reasoning are widely acknowledged (e.g. see Domingos et al., 2006; Poole, 2011)....

How We Age is far from being yet another faddy book about ageing. Colleen T. Murphy, professor of genomics and molecular biology at Princeton University, among other accolades, here confirms her ma...

Florence Ashley has responded to our response to ‘Gatekeeping hormone replacement therapy for transgender patients is dehumanising.’ Ashley criticises some of our objections to their view that patients seeking hormone replacement therapy (HRT) for gender dysphoria should not have to undergo a prior psychological assessment. Here we clarify our objections, most importantly that concerning the parity between cosmetic surgery and the sort of intervention Ashley has in mind. Firstly, we show Ashley’s criticism of our comparison is insubstantial. We then examine (...) their comments regarding the analogy between abortion and HRT, and the language of informed consent. We also scrutinize the data upon which Ashley relies to defend the claim that informed consent without assessment always yields positive outcomes, finding this conclusion to be overstated. Finally, even if Ashley’s arguments were vindicated, the claim that the gatekeeping of HRT is motivated by hostility towards transgender people remains unsupported. (shrink)

In a recent article in this journal, Abram Brummett argues that new and future assisted reproductive technologies will provide challenging ethical questions relating to lesbian, gay, bisexual and transgender (LGBT) persons. Brummett notes that it is likely that some clinicians may wish to conscientiously object to offering assisted reproductive technologies to LGBT couples on moral or religious grounds, and argues that such appeals to conscience should be constrained. We argue that Brummett's case is unsuccessful because he: does not adequately interact (...) with his opponents’ views; equivocates on the meaning of ‘natural’; fails to show that the practice he opposes is eugenic in any non‐trivial sense; and fails to justify and explicate the relevance of the naturalism he proposes. We do not argue that conscience protections should exist for those objecting to providing LGBT people with artificial reproductive technologies, but only show that Brummett's arguments are insufficient to prove that they should not. (shrink)

Volume 29, Issue 4, December 2023, Page 386-389.

Why conscience matters is a landmark in the literature on conscientious objection in healthcare. In it, Xavier Symons, bioethicist and postdoctoral research fellow at Harvard University, makes the...

Volume 25, Issue 4, December 2019, Page 374-377.

Introduction The General Medical Council stipulates that doctors must be competent professionals, not merely scholars and practitioners. Medical school curricula should enable students to develop professional values and competencies. Additionally, medical schools are moving towards integrated undergraduate curricula, Cardiff's C21 being one such example. Methods We carried out an audit to determine the extent to which C21 delivers GMC professionalism competencies, and a student questionnaire to explore student perspective on ethics and professionalism. Results and discussion C21 delivers explicit or implicit (...) teaching for all major GMC competencies, though some missed opportunities remain. The questionnaire responses showed that most students value ethics and professionalism teaching, and that it is most well received when delivered in a variety of ways and contexts throughout the curriculum. We also note that some respondents confuse ethics and professionalism with the policing of student behaviour. Conclusions C21 and curricula like it offer many opportunities for nurturing ethically and professionally competent physicians. Students appear to value this, though there remains confusion between medical school discipline and ethics and professionalism which needs further explication. (shrink)

Natural law is probably the most misrepresented and, therefore, unfairly dismissed ethical theory. If current academic ethics were a battlefield, it would be littered with the felled strawmen alleg...

With O’Donovan’s characteristic erudition, The Disappearance of Ethics reflects on the imperilment of ethics as an intellectual discipline, and applies theology to strengthen its foundations. In th...

The Nordic countries have often been regarded as ideal states with respect to their organization of society, including, among other things, their democracy, public education systems, gender equality, and strong concern for nature. From the late twentieth century onward, an increasing interest in Nordic literature, film, and design—genres where social and environmental themes have been strongly highlighted—can be noted internationally.This discourse of the Nordic societies can be considered to contain both utopian and dystopian aspects. As Kjerstin Aukrust and Cecilie Weiss-Andersen (...) show in their article on French democracy, the Nordic, understood as a utopian motif, has been a long-standing topic in modern French... (shrink)

In a rapidly changing global fashion system, new centres such as Shanghai are joining other cities such as Dubai, Moscow, and Mumbai as global fashion capitals. Street Style is a series that explores and reveals the relationship between culture, the city, and the street fashion. Books in the series use a predominantly visual approach paired with critical analysis, and are inspired by street fashion blogs, magazines, and other fashion incubators such as internet sites. Australian fashion is an up and coming (...) area, moving away from the beach look that is usually associated with Australia into more high fashion pieces. This book takes an academic look at some of the styles seen on the streets of Sydney, a city that may not officially be Australia s capital but is certainly number one in terms of style, culture and fashion. The book is beautifully put together with full colour photos of the stylish and eclectic residents of Sydney. This book would make a beautiful coffee table book or a gift for anyone fashion conscience or interested in travel. Style is predominantly an individual matter the way people put themselves together creates a sense of individual identity, but collectively there is a sense of common culture in a community, a city, or a country.". (shrink)

La estadística se ha convertido en un método práctico para describir los valores de datos económicos, políticos, sociales, psicológicos, médicos, biológicos y físicos, como herramienta para relacionar y analizar dichos datos. El trabajo del estadístico no consiste sólo en obtener, reunir o tabular los datos, sino sobre todo el proceso de interpretación de esa información solo o en colaboración con los expertos en cada ámbito. A pesar de que es imposible entender la Sociedad de la Información sin la estadística, es (...) preocupante la situación actual de las ciencias matemáticas y más concretamente de la estadística, ya que a pesar de su imprescindibilidad existe una falta de vocación entre los jóvenes por su estudio y uso, ya sea por su dificultad matemática, desconocimiento u otros motivos. Este artículo pretende reflexionar sobre la importancia de la misma en la sociedad actual que permite tratar numéricamente la realidad. (shrink)

Two experiments, one on school-aged children and one on adults, explored the mechanisms underlying responses to an image prime followed by graspable objects that were, in certain cases, dangerous. Participants were presented with different primes and objects representing two risk levels . The task required that a natural/artifact categorization task be performed by pressing different keys. In both adults and children graspable objects activated a facilitating motor response, while dangerous objects evoked aversive affordances, generating an interference-effect. Both children and adults (...) were sensitive to the distinction between biological and non-biological hands, however detailed resonant mechanisms related to the hand-prime gender emerged only in adults. Implications for how the concept of “dangerous object” develops and the relationship between resonant mechanisms and perception of danger are discussed. (shrink)

Invited talk at the so-called Thursday Lecture, Oct 25, at the Hoger Instituut voor Wijsbegeerte the International Programme at the Institute of Philosophy at the University of Leuven, Belgium. Focus was on the distinction between good and good-for.